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Prior authorization program for repetitive scheduled non-emergent ambulance transports

February 17, 2026
Background Submissions Extended affirmation periods

Targeted probe and educate (TPE) round results: Clinical laboratory services (CPT 87150)

February 18, 2026
View targeted probe and educate (TPE) round results for clinical laboratory services: culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed CPT 87150.

Targeted probe and educate (TPE) round results: Diagnostic-related group (DRG) 885 - psychosis

February 18, 2026
Review the top denial / partial denial reasons and high-level results listed for DRG 885.

Checklist: Cardiac rehabilitation services

February 18, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for cardiac rehabilitation services.

Checklist: Pulmonary rehabilitation services

February 18, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for pulmonary rehabilitation services.

CBR Guide - Part B

February 18, 2026
The Comparative Billing Report (CBR) for Part B providers furnishes a detailed examination of the comparative data that Medicare considers when determining how the provider’s billing patterns contrast with those of other providers of the sa…

Repetitive scheduled non-emergency ambulance transport prior authorization claims submission guidelines

February 18, 2026
Follow this instructions to learn how to file a claim once you received the unique tracking number (UTN) related to the prior authorization of repetitive, scheduled non-emergency ambulance transports.

Prior authorization tips and reminders

February 18, 2026
The PA team has been receiving and processing prior authorization requests (PAR) for certain hospital OPD services. View the following reminders prior to submitting your request.

Checklist: Chiropractic services documentation

February 18, 2026
This checklist is an aid to assist providers with responding to medical record documentation requests.

Checklist: Nursing home

February 18, 2026
This checklist is being provided as a tool to assist providers when responding to medical record documentation requests for nursing home services.
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